THE LEADERSHIP CHALLENGES OF THE PARADIGM SHIFT IN GLOBAL HEALTHCAREKelley Conrad, Ph.D., Phillip Davidson, Ph.D., Caroline Molina-Ray, Ph.D., Amy Preiss, Ph.D., Barbara Shambaugh, Ph.D., Linda Suzanne Wing, Ph.D.With the University of Phoenix School of Advanced Studies FacultyUniversity of Phoenix Online - School of Advanced Studies, Phoenix, AZ
Presented by Phillip Davidson, Ph.D. (10/16/2010)1Background to the ProblemIn Europe, collaboration between the public and private sectors has prompted competitive healthcare markets replacing government as the leading healthcare provider. In China, a quarter century of financial reform has prompted a gradual shift toward privatization.The patient now has more options, and medical tourism continues to gather more attention.In most countries of the world, there exists a shortage of healthcare personnel.2Background to the Problem (Continued)The General Agreement on Trade in Services (GATS) (established 1995) includes health related services. GATS could potentially change how the United States delivers care because of international obligations under this agreement including offshoring.Discrimination against WTO members not allowed by GATS.According to Arnold and Reeves (2006), GATS could open markets for telemedicine, promote off-shoring of healthcare services and healthcare jobs, and subject HMOs, health insurers, and professional licensing and qualification standards to necessity tests that limit domestic regulatory powers (p. 327).
Members of the World Trade Organization cannot discriminate against member countries. Therefore, a World Trade Organization member could provide market access (as the United States has done with radiology and telemedicine), and cannot impose barriers to trade in these areas (Fried & Harris, 2007).
3Background to the ResearchThe University of Phoenix, School of Advanced Studies invited doctoral faculty to participate in an online meeting to discuss the global challenges of healthcare leadership. Approximately 250 practitioner-faculty attended the meeting. The themes and patterns derived from the dialogue reflect participants diverse expertise as academicians, practitioners, and leaders in their fields. The full paper presents the results of a qualitative analysis of SAS faculty perspectives on global healthcare leadership based on a content analysis of the dialogue. 4Themes DiscoveredGlobal Social Policy and Healthcare Leadership
5Themes Discovered (Continued)Access to Resources.(Differences between wealthy nations and developing nations).Healthcare Tourism Competition for Healthcare ResourcesRelated Issues: Technology Treatment Supply of Trained Professionals Emotional Nationalistic ResponsesThe Role of GovernmentGovernmental Restrictions6SummaryEffective healthcare delivery depends on the ability to generate, analyze, and interpret data.The World Health Organization (WHO) provides extensive and detailed data banks on health conditions and populations in virtually every country on earth. However, without scholarly methods to analyze and interpret the data, practitioners, and leaders are unable to translate the available information into knowledge and action. Research-based analysis and application can also assist in both the formulation of labor policies and the implementation of practical solutions to the healthcare workforce shortage.These include the application of appropriate theories and leadership principles for addressing complex issues, including setting international standards for the recruitment, training, and distribution of qualified health workers worldwide.7